New Paltz Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

014711 Issued in NY

Legal business name

NEW PALTZ PHARMACY INC

Practice address

190 Main St
New Paltz, NY 12561

Phone

(845) 255-0310

Fax

(845) 255-0576

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared Edward NekosNPI 1275965493

Title

President

Phone

(845) 255-0310

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEDRICKS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Edward Nekos, PHARMD

  • Pharmacist
  • New Paltz, NY
  • NPI 1275965493
  NPD Authorized official
• Kelly A Davis, RPH

  • Pharmacist
  • New Paltz, NY
  • NPI 1205168879
  NPD (past)
• Josephine Carmela Griffin

  • Pharmacist
  • New Paltz, NY
  • NPI 1235461807
  NPD (past)
• William E Sheeley, B.S.

  • Pharmacist
  • New Paltz, NY
  • NPI 1477602951
  NPD (past)
• Helen Marie Steffens, RPH

  • Pharmacist
  • New Paltz, NY
  • NPI 1912220856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1871590182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611211",
            "telephone_number": "845-255-0310",
            "fax_number": "845-255-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-255-0310",
            "fax_number": "845-255-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PALTZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "NEKOS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-255-0310"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061616",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00266775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDRICKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEDRICKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Brian Ness, DC
• New Lens Psychotherapy LCSW PLLC
• New Paltz Central School District
• New Paltz Creative Arts Therapy for Trauma PLLC
• New Paltz Dental Care PLLC
• New Paltz Rescue Squad Inc
• Rebecca Jane Nidorf, LCSW-R
• Joseph Thomas Niravathu, PHARMD
• Nicole Megan Noonan, DPT
• Christina M Notaro-Barton, RD, CDN

• Community/Retail Pharmacy in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.